Basic Information
Provider Information
NPI: 1760745822
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOENHARD
FirstName: ERIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 MEDICAL CENTER DR
Address2:  
City: GALENA
State: IL
PostalCode: 610368118
CountryCode: US
TelephoneNumber: 8157771340
FaxNumber: 8157771821
Practice Location
Address1: 1 MEDICAL CENTER DR
Address2:  
City: GALENA
State: IL
PostalCode: 610368118
CountryCode: US
TelephoneNumber: 8157771340
FaxNumber: 8157771821
Other Information
ProviderEnumerationDate: 06/22/2012
LastUpdateDate: 06/22/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X070.015227ILY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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